jwk

jwk

Member

  • Content

    1,102

  • Visitors

    10,198

  • Followers

    0

  • Likes

    4

All Content by jwk

  1. Anesthesia Clinical question (Ketamine)

    jwk replied to CougRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Mike, assuming we're talking just about Gi cases here, how quickly are your ketamine patients ready for discharge? Ours are getting dressed within 15-20 minutes after the procedure and out the

  2. Anesthesia Clinical question (Ketamine)

    jwk replied to CougRN's topic in Certified Registered Nurse Anesthetist, CRNA

    Sure sounds like a general anesthetic to me. Several of us have pointed out problems to the RN's in the GI nurses section about the dangers of propofol use by non-anesthesia personnel. If the patient...

  3. Anyone have any experience with anesthesia assistants compared to CRNAs ?

    jwk replied to MilwaukeeMike's topic in Certified Registered Nurse Anesthetist, CRNA

    That represents about one per class - probably about right. But the program has been in existence for almost 30 years prior to 2000, so my statement that "a number of RN's" have gone through the...

  4. Anyone have any experience with anesthesia assistants compared to CRNAs ?

    jwk replied to MilwaukeeMike's topic in Certified Registered Nurse Anesthetist, CRNA

    :chuckle Nope, we've actually had a number of RN's go through the AA program. They usually do very well. It will be interesting to see if the RN applicant #'s go down with the 2nd CRNA school in...

  5. da Vinci Prostatectomy

    jwk replied to versatile_kat's topic in Certified Registered Nurse Anesthetist, CRNA

    I'm starting to understand the advantages, but still haven't done a case with one yet. Apparently, the robotic instruments aren't limited by normal range of motion that you would have if you operated...

  6. Anyone have any experience with anesthesia assistants compared to CRNAs ?

    jwk replied to MilwaukeeMike's topic in Certified Registered Nurse Anesthetist, CRNA

    I'd love to go blissfully to work each day and not to have to defend myself and my profession against people who really don't know any better, but some of y'all make that darn near impossible. So here...

  7. Anyone have any experience with anesthesia assistants compared to CRNAs ?

    jwk replied to MilwaukeeMike's topic in Certified Registered Nurse Anesthetist, CRNA

    Gee, I thought your requirement was just one year. I know two SRNA's right now who had just 6 months of ICU experience when they were accepted into their programs, although they had a year by the...

  8. Anyone have any experience with anesthesia assistants compared to CRNAs ?

    jwk replied to MilwaukeeMike's topic in Certified Registered Nurse Anesthetist, CRNA

    The anesthetist actually comes in after the case is started? That would suck. I think the biggest misconception about AA's is that there is always an MD standing over us holding our hands. It...

  9. Anyone have any experience with anesthesia assistants compared to CRNAs ?

    jwk replied to MilwaukeeMike's topic in Certified Registered Nurse Anesthetist, CRNA

    We're not the same. Thank

  10. Anyone have any experience with anesthesia assistants compared to CRNAs ?

    jwk replied to MilwaukeeMike's topic in Certified Registered Nurse Anesthetist, CRNA

    MilwaukeeMike, I'll be glad to give you the true story and more info privately if you're

  11. Negotiating a Contract

    jwk replied to csojet's topic in Certified Registered Nurse Anesthetist, CRNA

    There are several threads on here about sign-on bonuses and tuition reimbursement arrangements. There are pluses and minuses to both. If you haven't read those, you should check them out. I think...

  12. GlideScope

    jwk replied to heartICU's topic in Certified Registered Nurse Anesthetist, CRNA

    I guess as you're not rocking on the teeth it won't be a

  13. GlideScope

    jwk replied to heartICU's topic in Certified Registered Nurse Anesthetist, CRNA

    We have several and I've used it a bunch of times. No, you do NOT rock back with your wrist. The biggest thing I've found is that the blade itself is thicker because of the optics, and sometimes it's...

  14. Sedation by non-anesthesia personel

    jwk replied to NeuroNP's topic in Certified Registered Nurse Anesthetist, CRNA

    Some states specifically prohibit RN's from administering propofol, and wisely so. Check out the package insert on propofol - again, it's an ANESTHESIA DRUG. Trust me - the attorneys know this and...

  15. Interesting case of hypothermia

    jwk replied to yoga crna's topic in Certified Registered Nurse Anesthetist, CRNA

    Here's my take - I think all of the answers are within your posts. "Tumescent local anesthesia for the liposuction of 3 liters of dilute local in a warmed solution..." Warmed when? How long were...

  16. Sedation by non-anesthesia personel

    jwk replied to NeuroNP's topic in Certified Registered Nurse Anesthetist, CRNA

    it's an anesthesia drug boys and girls. plain and simple. except for use in mechanically ventilated patients in the icu, it should not be used by non-anesthesia personnel. in our hospital, only...

  17. medications for conscience sedation that RN's are able to push

    jwk replied to strugglingstudent's topic in Certified Registered Nurse Anesthetist, CRNA

    Although there is no official list of CONSCIOUS sedation drugs that RN's can push, some states specifically prohibit RN's from using propofol for sedation, except on mechanically ventilated patients....

  18. Future of CRNAs

    jwk replied to badass's topic in Certified Registered Nurse Anesthetist, CRNA

    It will be interesting to see if that changes in the next few years as more CRNA's practice independently. Remember that it's also skewed a little because by and large, CRNA's in independent practice...

  19. Future of CRNAs

    jwk replied to badass's topic in Certified Registered Nurse Anesthetist, CRNA

    Some surgeons and OB's make more, some make less. Same with anesthesiologists. Same with CRNA's and AA's. There are CRNA's out there making $400k a year - probably not a lot, but they're there....

  20. Future of CRNAs

    jwk replied to badass's topic in Certified Registered Nurse Anesthetist, CRNA

    It's actually more in the neighborhood of $60k I think. All three of the current AA programs are at private universities, so the costs there are pretty high. I'm guessing that's not too far out of...

  21. Future of CRNAs

    jwk replied to badass's topic in Certified Registered Nurse Anesthetist, CRNA

    That would probably be a low estimate for most anesthetists. The other post indicated the RN's made $20 LESS per hour than the CRNA's. So the other way to look at it would be that the CRNA's make...

  22. da Vinci Prostatectomy

    jwk replied to versatile_kat's topic in Certified Registered Nurse Anesthetist, CRNA

    We've done several hundred laparoscopic prostatectomies without the robot. I'm trying to understand what a robotic procedure brings to this that is superior. As far as recovery time and time to...

  23. da Vinci Prostatectomy

    jwk replied to versatile_kat's topic in Certified Registered Nurse Anesthetist, CRNA

    But is it worth it? We're getting one in the near future - actually it's here, but has to be installed, which will take some remodeling of two small OR's into one big one. But really - what's the...

  24. CRNA Headhunters/Recruiters

    jwk replied to TraumaNurse's topic in Certified Registered Nurse Anesthetist, CRNA

    Sooner or later, you have to meet your employer, whether you use an agency or not. That means YOU have to do something - the agency can't do everything. MOST good employers simply will NOT use...

  25. CRNA Headhunters/Recruiters

    jwk replied to TraumaNurse's topic in Certified Registered Nurse Anesthetist, CRNA

    I can see using agencies for locum tenens work but why would they be necessary for permanent positions? All it takes is a few phone calls, emails, or letters to find out if positions are available at...